CSSS Holdings of Orange Park, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

13959 Issued in FL

Legal business name

CSSS HOLDINGS OF ORANGE PARK, INC.

Practice address

4131 University Blvd S Ste 1
Jacksonville, FL 32216-4346

Phone

(904) 738-7735

Fax

(904) 738-7856

NPI assigned

Feb 15, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carlos J Santiago, DDS

Title

Owmer

Phone

(904) 738-7735

Specialties & licenses 1

Addresses

Other names 1

• TROPICAL DENTAL Other name

Tax ID family

CSSS Holdings of Orange Park Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• CSSS Holdings of Orange Park, Inc

  • Dentist
  • Jacksonville, FL
  • NPI 1811245319
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1992078398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 UNIVERSITY BLVD S STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164346",
            "telephone_number": "904-738-7735",
            "fax_number": "904-738-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 UNIVERSITY BLVD S STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164346",
            "telephone_number": "904-738-7735",
            "fax_number": "904-738-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSSS HOLDINGS OF ORANGE PARK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWMER",
        "authorized_official_telephone_number": "904-738-7735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "13959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TROPICAL DENTAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Csi Private Duty Services, Inc
• Csi-Pediatric Services, LLC
• Csi-Pediatric Services, LLC.
• David N Csikai, M.D.
• CSSS Holdings of Orange Park, Inc
• CTG Business LLC
• Gil A Cu, MD
• Maria Minchele Cua, PT
• Roy Cucchiara, MD
• Fran J Cuchiara

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.